Gynecologic Chp 24 Notes

Question 1

External female genitalia
V L C P

Answer 1

4
-Vaginal opening
-Labia majors labia minora (lips)
-Clitoris
-Perineum

Question 2

Ovaries are the primary internal

Answer 2

Lies on each side of abdomen
Produce ovum(eggs)

Question 3

Bacterial vaginosis

Answer 3

Over growth of bacteria in the vagina
-fishy smell
-

Question 4

Menarche

Answer 4

Onset of period
Ages11-16

Question 5

Vaginal bleeding possibly causes
CAVES

Answer 5

Abnormal menstruation
Vaginal trauma
Ectopic pregnancy
Spontaneous abortion
Cervical polyps or cancer

Question 6

Secondary assessment give you a lot of information

Question 7

The narrowest part of the uterus is the cervix

Question 8

When a female reaches puberty she ovulate and experience menstruation

Answer 8

Female begins period when reaching puberty 11-16

Question 9

Period stops when women reaches menopause
Around age 50

Question 10

Each ovary produces an ovum during each menstrual activity

Question 11

Women experience minor cramping pain during ovulation when a ovum is released

(flip card) pain described

Answer 11

Dull pain on one side of the lower abdomen and back

Question 12

Fertilization begins where?

Answer 12

Vagina where the male deposited in the female reproductive tract

Question 13

Sperm pass the cervix into the uterus then up the fallopian tube eventually

*ovum move down fallopian tube slow
*Sperm move up the tube and 1 sperm fertilize the ovum

Question 14

When ovum fertilized embryo goto the uterus

Embryo attach to the uterine wall and continue to grow

Question 15

If ovum not fertilized in the fallopian tube it travels to the uterus
* if no fertilization In 14 days uterus begin to separate and menstruation occurs blood come from the separated lining for bout 1 week

Answer 15

Hormones (are in ovaries) :

control the process of ovulation and menstruation

Question 16

Pelvic inflammation disease
* upper female reproductive organs
(FOU)
*uterus
*Ovaries
*Fallopian tubes

Answer 16

Can lead to ectopic pregnancy (develops outside the uterus)

Question 17

(PID)
Disease causes organisms to enter vagina during sex
*migrate through opening of cervix to uterine cavity
*infection can cause scarring and can be life threatening if ovaries infected

Signs/symptoms:🪧

Answer 17

Come from having sex with multiple people:
Smelly vagina discharge
Pain during sex
Fever
General malaise
Nausea
Vomiting

Question 18

Sexual transmitted diseases

Answer 18

Chlamydia
Bacterial vaginosis
Gonorrhea
All can process to (Pelvic inflammation disease )

Question 19

Vaginal bleeding/
*Menstrual bleeding happens monthly
*some causes of vaginal bleeding :
Abnormal menstruation vaginal trauma ectopic pregnancy miscarriage

*internal trauma of the vagina is rare because organs are located deep within the vagina
External genitalia is painful because large amount of nerves and blood vessels

Answer 19

Internal bleeding from polyps or cancer is painless

Question 20

Ectopic pregnancy and spontaneous abortion
Can cause vaginal bleeding during early pregnancy

Question 21

It is important to have a female EMT to provide care
If both providers are males call for female provider early

Question 22

Patient HISTORY find out the NOI (important)
Obtain a sample

Question 23

*Vaginal bleeding sufficiently can lead to shock
*Never insert anything to control blood even tampons
*Transport based on vital signs
*If she has fever consider sign of infection
Obtain orthostatic vital signs

Question 24

Always maintain patient privacy as much as you can
*move to ambulance if you in a public place
*use sanitary pads to absorb blood
*document number of pads
*treat as if they were in hemorrhagic shock keep supine and warm

Question 25

Treat lacerations with sterile compresses

Question 26

Sexual assault and rape
Abused sexual before the age of 12
*alcohol is the most used date rape drug as well as rohypnol added to a drink

Flip card for other drugs
Pg890

Answer 26

“(Gamma hydroxybutyric acid) liquid ecstasy “
Ketalar(ketamine) special K
*klonopin
Cause:
Weak
Confused
Loss of consciousness

Question 27

If drugs still in the system from rohypnol..etc you may see
Hypotension
Bradycardia
Abdominal complaints
Dyspnea
Seizure
Coma or death

Answer 27

*Do not cut clothes
Or throw away anything from scene
*Place clothes in a paper bag
*Ask pt to not clean herself
*try get her to not urinate ,changing clothes rinsing her mouth or moving bowels

Question 28

*If refused transport call rape crisis
*Use quotation marks to indicate patient side of story